E noʻonoʻo ʻoe he kīʻaha tī kou ma kou lima i ke kakahiaka. Manaʻo ʻoe i ka wela ʻaʻole wale he wela, akā, he manaʻo ikaika hoʻi e hōʻeha ai i kou poʻo. A i ʻole inā e hoʻopā mālie kekahi i kou lima, ua like ia me ke kaomi nui. Inā manaʻo ʻoe i nā mea liʻiliʻi e like me kēia 'nui loa' , pono ʻoe e makaʻala i ke kūlana a mākou e kamaʻilio nei i kēia lā i kapa ʻia ʻo Hyperesthesia.
I ka ʻōlelo maʻalahi, he aha ka Hyperesthesia?
ʻO ka Hyperesthesia kahi ʻano i hoʻonui nui ʻia ai kou ʻike o ka hoʻopā a i ʻole ikaika loa. I ka ʻōlelo maʻalahi, ʻo nā mea i manaʻo maʻamau ʻia he akahai iā mākou hiki ke manaʻo i ka ikaika nui ʻole a me ka ʻeha i kahi mea me kēia ʻano.
Eia kekahi laʻana, ke hoʻopā ʻoe i kahi kīʻaha kofe wela, ʻike ʻoe i kona wela. Akā, ʻaʻole ia e like me ke kuni ʻana iā ʻoe. Akā, ua ikaika loa ka wela a ʻaʻole hiki iā ʻoe ke hoʻōki i ka noʻonoʻo ʻana iā ia, a hiki i ka lilo ʻana i mea ʻeha poʻo. ʻO ia hoʻi, ua ikaika loa ka manaʻo e hoʻowahāwahā ʻia.
Hiki i kēia hypersensitivity ke hoʻopilikia i nā mea āpau a kou ʻili e ʻike ai, e like me ka pā ʻana, ka mahana, a me ke kaomi. Hoʻomaka ʻoe e ʻike i kēia mau mea āpau me ka ikaika ma mua o ke kanaka maʻamau. ʻIke pinepine ʻia kēia ʻano me ka ʻeha neuropathic.
No ke aha lā kēia e hana nei iā kākou?
Hiki i ka hyperesthesia ke lilo i hōʻailona e hana pono ʻole ana kāu ʻōnaehana nerve. E noʻonoʻo i kāu ʻōnaehana nerve e like me ka mea hoʻokele leo. ʻO ka maʻamau, mālama ka lolo i kēia leo ma ka pae kūpono. ʻO ia hoʻi, makemake mākou e ʻike i nā mea, akā ʻaʻole mākou e ʻae iā ia e lilo i mea nui loa a lilo i mea hoʻonāukiuki i ka lolo. Hoʻouna wale ia i nā hōʻailona ikaika loa ke pono maoli, e like me ka manaʻo wela.
Hana ʻia ka hyperesthesia ke loaʻa kahi hana hewa ma kekahi ʻāpana o kēia ʻōnaehana sensory, inā paha nā aʻalolo, ke kaula spinal, a i ʻole ka lolo. Hoʻonui kēia i kou ʻike o ka hoʻopā i kona nui kiʻekiʻe loa me ke kumu ʻole.
ʻO kekahi mea e pili ana i kēia ua kapa ʻia ʻo "sensitization." ʻO ke ʻano kēia, ke ʻike pinepine ʻia kekahi mau manaʻo a ikaika loa paha, lilo nā hunaola aʻalolo e hana i kēlā mau manaʻo i "hyperactive." A laila hoʻomaka nā mea liʻiliʻi e ʻike ikaika ʻia, a i kekahi manawa hiki ke loaʻa kēia mau manaʻo me ke kumu ʻole.
He aha nā kumu nui o ka hyperesthesia?
Hiki ke hana ʻia ka hyperesthesia e kekahi maʻi a i ʻole ke ʻano e hoʻopilikia ai i ke ʻano o ka hoʻouna ʻana a me ka loaʻa ʻana o nā manaʻo i kāu ʻōnaehana nerve. Nui nā mea e hiki ke hana iā ia. E kōkua ka papa ma lalo nei iā ʻoe e hoʻomaopopo pono iā ia.
| Māhele o nā kumu | Nā Laʻana |
|---|---|
| Nā maʻi e pili ana i ka ʻōnaehana nerve ponoʻī |
|
| Nā pilikia o ka huaora a me ka hormone | |
| Nā maʻi lele | |
| Nā maʻi o ka ʻōnaehana pale (Autoimmune) | |
| Nā mea ʻawahia a lāʻau lapaʻau paha | |
| Nā kumu ʻē aʻe |
ʻO Hyperesthesia a me nā kūlana ʻē aʻe e hiki ke lohe ʻia
Ua lohe paha ʻoe i kekahi mau huaʻōlelo ʻē aʻe e like me kēia e pili ana i nā manaʻo. He mea nui e hoʻomaopopo i ka ʻokoʻa ma waena o lākou.
| Huaʻōlelo Lapaʻau | Manaʻo maʻalahi |
|---|---|
| Hoʻonui ʻia ka maʻi ʻaʻai | Ke manaʻo nui nei a ikaika loa, ʻoiai me kahi pā maʻamau. |
| ʻO ka Hyperalgesia | Ke ʻeha nui nei mai kahi mea e hoʻoulu mau ai i ka ʻeha (e laʻa, ke manaʻo nei i ka ʻeha hiki ʻole ke hoʻomanawanui mai kahi kui liʻiliʻi). |
| ʻAlodina | ʻEha i hoʻokumu ʻia e kahi mea i ʻole e hoʻoulu ai i ka ʻeha (e like me ke ʻano o ka ʻeha i ka wā e hamo ai ke kapa i ke kino, a i ʻole i ka wā e kahili ai i ka lauoho). |
| ʻO ka Paresthesia | Nā manaʻo keakea e like me ka numbness a me ke kani ʻana. |
| ʻO ka maʻi ʻaʻai | Ka manaʻo keakea e pili ana i ka hoʻopā ʻana (e.g., kahi manaʻo wela i ka wā e hāʻule ai ka wai ma luna o ke kino). |
I kekahi manawa hiki i kēia hypersensitivity ke hoʻopilikia i ka lohe. Ua kapa ʻia ʻo ia ʻo Auditory Hyperesthesia (Hyperacusis). A laila hoʻomaka nā leo maʻamau e kani nui loa e hiki ʻole ke hoʻomanawanui.
Pehea wau e mālama ai i kēia? ʻO wai kaʻu e ʻike ai?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea mua a me ka mea nui e hana ai, ʻo ia ke ʻike i kāu kauka . E kuhikuhi ʻo ia iā ʻoe i kahi neurologist inā pono.
E nīnau aku kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe. Hiki iā lākou ke hana i nā hoʻokolohua e ʻike ai i ke kumu pololei:
- Nā hoʻāʻo koko (ʻoi aku hoʻi e nānā i nā mea e like me nā pae huaora a me ka maʻi diabetes)
- Nā hoʻokolohua e ana i ka hana aʻalolo (Electromyography [EMG] a me nā Nerve Conduction Studies)
- Nā kiʻi MRI
Aia ka lāʻau lapaʻau ma ke kumu nui o ke kūlana. ʻOiai e mālama ana i ke kumu, hāʻawi ʻia nā lāʻau lapaʻau e kāohi i nā hōʻailona o kēia hypersensitivity. ʻO kekahi o nā lāʻau lapaʻau i hoʻohana pinepine ʻia:
- ʻO kekahi mau antidepressants (Tricyclic antidepressants) i hoʻohana ʻia no ka ʻeha nerve
- Nā SNRI (e.g. duloxetine)
- Nā lāʻau lapaʻau antiseizure - e.g. gabapentin, pregabalin
- Nā lāʻau anesthetics topical
- Nā mea ʻeha ʻē aʻe
ʻO ka mea nui loa, ʻo ia ka hoʻoholo ʻana o kāu kauka i ka lāʻau lapaʻau kūpono loa iā ʻoe, no laila e hahai pono i nā ʻōlelo a kāu kauka.
Pono wau e hopohopo e pili ana i ka hyperesthesia?
ʻAʻole ia he mea hoʻoweliweli i ke ola o ka hyperesthesia. Eia nō naʻe, ʻaʻole pono e hoʻowahāwahā ʻia, no ka mea , he hōʻailona ia o kekahi maʻi ʻē aʻe .
Eia kekahi, hiki i kēia kūlana ke loaʻa ka hopena nui i kou ola o kēlā me kēia lā. Hiki i kēia mau manaʻo hopohopo mau ke hoʻopilikia i kou olakino noʻonoʻo. No laila, hiki ke alakaʻi i nā kūlana e like me ka hopohopo a me ke kaumaha.
ʻOiai ʻaʻole kēia he mea weliweli, hiki iā ia ke loaʻa ka hopena koʻikoʻi i kou hauʻoli a me kou olakino. No laila, ʻoi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe loa.
Aia ke kauka ma laila e kōkua iā ʻoe. ʻAʻole ʻo ia e hoʻohewa iā ʻoe no kou manaʻo, akā e kōkua iā ʻoe e ʻike i ke kumu a hoʻihoʻi i kou ola i ka maʻamau.
Leka Lawe-Home
- ʻO ka Hyperesthesia kahi ʻano hypersensitivity i ka hoʻopā ʻana e hiki ai ke hoʻomanawanui ʻole i ka hoʻopā maʻamau a i ʻole ka wela.
- ʻAʻole kēia he mea e hana wale ʻia, akā he hōʻailona ia o kahi pilikia i loko o ka ʻōnaehana nerve. No laila, mai lawe māmā.
- Hiki ke hana ʻia kēia e nā kumu like ʻole, mai nā kumu maʻalahi e like me ka nele o ka wikamina i nā maʻi ʻoi aku ka koʻikoʻi e like me ka maʻi diabetes a me MS.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hopohopo a mai hoʻōla ponoʻī. E ʻike koke i kāu kauka e ʻike i ke kumu maoli.
- Aia nā lāʻau lapaʻau kūpono no ke kumu a me nā hōʻailona, no laila me ke aʻo lapaʻau kūpono, hiki iā ʻoe ke hoʻi i kahi ola maʻamau.
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